Surgical Treatment of Hypospadias

Surgical Treatment of Hypospadias

The treatment for any form of hypospadias is surgery performed by Dr. Adam Kern, who is experienced in the condition as well as the complexity of the procedure. The outcomes are typically very positive for boys who have surgery to correct hypospadias.

The Surgery

There are three main elements of surgery to repair and correct hypospadias:

  1. Urethroplasty – This surgical approach rebuilds the urethral channel and repositions the urethral opening at the tip of the penis so that urine can flow out of the penis properly. While there are several techniques for repairing the channel, Dr. Kern adapts each procedure to the individual child’s anatomy.
  2. Orthoplasty – This procedure straightens the penis when chordee (downward curve of the penis) is present.
  3. Cosmesis – This component of the surgery focuses on the cosmetic look of the penis after the reconstruction of the urethral channel, removing the extra foreskin so that the penis looks similar to a circumcised penis.

The surgery typically lasts one to two hours and is performed in our Ambulatory Surgery Center, which caters to the special needs of our pediatric patients. Your son will be placed under general anesthesia by our pediatric anesthesiologist. You will be able to meet your child following the procedure in the recovery room and will be able to go home that same day if no complications occur or additional monitoring is necessary.

In all cases of hypospadias, additional surgeries may be necessary to repair and reconstruct the urethral opening. Multiple or staged surgeries may be planned for optimal results in certain children.

What To Expect After Surgery

While your son is in recovery, our pediatric nurses will walk you through the care of the surgical site once you return home, which will include instructions for keeping the site clean and changing the dressing. During surgery, a stent, which is used to drain urine from the bladder through the urethra, may be placed into the reconstructed opening. It may remain in the urethra during the healing process to keep the urethra open and will be removed at your follow-up appointment.

Dr. Kern may also prescribe:

  • Ibuprofen or acetaminophen for pain or soreness following surgery
  • An ointment that should be applied to the surgical site (Vaseline)
  • Oral antibiotics

Your first follow-up appointment may be seven to 10 days after surgery if a stent was left in the surgical site. If no catheter was placed, the follow-up may be four weeks after the initial healing process. Significant swelling and normal post-operative skin changes require four to six months to resolve in order to judge the initial surgical result.

Remember: Dr. Kern and the pediatric urology team are always available to answer any questions you may have before or following your son’s surgery. Feel free to call our office any time. Open communication is an important part of the process.

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